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Glossary of Frequently Used Terms and Acronyms

Glossary of Frequently Used Terms and Acronyms

 

A

ABA – Applied Behavioral Analysis. Applied Behavior analysis (ABA) is the science of applying experimentally derived principles of behavior to improve socially significant behavior.

ABAS – Adaptive Behavior Assessment System. An adaptive behavior assessment tool sometimes used to (in part) establish eligibility for DDP –funded services.

ADA – Americans with Disabilities Act. An act providing freedom from discrimination to persons with disabilities

ADL – Activities of Daily Living

AMDD - Addictive and Mental Health Division, this division is housed in the Department of Public Health and Human Services and provides supports and services to persons with addiction and mental health issues.

ANSI – American National Standards Institute

AP – Action Plan, A description of how an action identified in the Personal Support Plan, will be met.

APS - Adult Protective Services, this bureau is located in Senior and Long Term Care, a division in the Department of Public Health and Human Services that provides supports and services to the physically disabled and the elderly.

ARM – Administrative Rules of Montana

ASD – Autism Spectrum Disorder

AWACS - Agency Wide Accounting and Client System, a non-Medicaid Management Information System used by the Developmental Disabilities Program for billing and payments, as well as a data-base for maintaining client demographic information.

B

BIA – Bureau of Indian Affairs

BLVS – Blind & Low Vision Services

C

CARF – Commission on Accreditation of Rehabilitation Facilities

CAW - Children’s Autism Waiver, a Waiver designed specifically to provide early intensive training to children up to the age of eight who are diagnosed with autism and meet the Developmental Disabilities Program’s eligibility requirements, for a three year period.

C & F – DDP-Funded Child and Family Services (typically in reference to the provision of Family Supports Coordination)

CFC - Community First Choice, Montana’s Medicaid state plan program that provides personal assistance services to individuals in community settings that are eligible for the supports.

CFR - Code of Federal Regulations, the codes written by the various branches of federal government to provide legislation and guidance for the programs administered by state and federal government.

CM – Case Manager (also known as TCM, Targeted Case Manager)

CMAG – Case Management Advisory Group: this group is compromised of Case Manager Supervisors (state and contracted), Case Managers (state and contracted) from across the state, as well as a  representative from the DDP Central Office.  The group meets at least once each quarter and reviews current policies, procedures, etc. and makes recommendations to the DDP Central Office.

CMHB - Children’s Mental Health Bureau, this bureau is located in the Developmental Services Division and provides supports to children with serious emotional disturbances.

CMS - Centers for Medicare and Medicaid Services, a federally funded program that provides funding to states for individuals that meet the income and level of care requirements for the Affordable Care Act Health Insurance Program, Medicare, Medicaid, SCHIP (state children’s health insurance) and several other health related programs. ARM Administrative Rules of Montana, the rules which govern the programs authorized by the Montana legislature.

COLA – Cost of Living Adjustment. Usually updated annually by Social Security

CP – Cerebral Palsy

CPS - Child Protective Services, provides services and supports to children and families through Child and Family Services, a division in the Department of Public Health and Human Services.

CRDS – Cost Recovery Data Sheet

CS – Consumer Survey

CSR - Client Status Report, a report used to define the status of an individual in services.

CST – Child Study Team

D

DAC – Disabled Adult Child, a term used by Social Security to distinguish the type of benefit one is receiving

DD - Developmental Disability, a cognitive impairment which results in low adaptive behavioral functioning. Standardized tests place the IQ and the adaptive functioning at or below 70 on the standardized scoring, with an onset before the age of eighteen.

DDCPT – Developmental Disabilities Client Programming Technician. Training program in applied behavior analysis for staff working with individuals with disabilities.

DDD -  Developmental Disabilities Division. Now called the Developmental Disabilities Program (DDP)

DFS – Department of Family Services. Now called the Child and Family Services Division. Provides child and adult protective services in cases of abuse, neglect and exploitation.

DDP - Developmental Disability Program, the program provides supports and services to persons with developmental disabilities who are intellectually disabled with a full scale intelligent quotient of 70 or below and low adaptive skills. This program is located in the Developmental Services Division in the Department of Public Health and Human Services.

DDPRC – Developmental Disabilities Program Review Committee

DPHHS - Department of Public Health and Human Services, a state of Montana government department that develops programs and provides oversight for health and human services for the people of Montana.

DSD - Developmental Services Division, this division is located in the Department of Public Health and Human Services, providing supports and services to adults and children with serious emotional disturbances and intellectual developmental disabilities.

E

EBT – Electronic Benefits Transfer

E & D - Evaluation and Diagnosis, assessment services funded by the Developmental Disabilities Program, which determine a diagnosis of Autism Spectrum Disorder, intellectual and developmental disability.

E I Module - Early Intervention Module, a program used in Children’s Part C Services which outlines specific steps and standards for achieving outcomes for children at risk for Developmental Disabilities.

EPSDT - Early Periodic Screening and Diagnostic Treatment, a Montana State plan program that provides screening, diagnosis and medical treatments for children until they are twenty one years of age.

F

FES - Family Education and Support Services, a non-Medicaid funded service for families with children, three through age twenty one, who are determined developmentally delayed by a provider eligibility review panel. Prior to the eighth birthday the child must have their Developmental Disability eligibility established by the state eligibility specialist in order to remain in Family Education and Support Services.

FSC  - Family Supports Coordination, an expanded form of case management for children, delivered by a Family Support Specialist (FSS).

FSS - Family Support Specialist, an employee of a child and family provider responsible for providing Part C Early Intervention Services to a child and their family.

FSS (DDP) – Field Services Specialist. Now called a Quality Improvement Specialist (QIS)

G

GF - General Fund, state of Montana funds appropriated by the legislature to fund state government for a two year period, referred to as a biennium.

H

HCBS - Home and Community Based Services, this phrase refers to Waiver Services provided in the community and funded by The Centers for Medicare and Medicaid Services to provide medical services and supports for persons with physical, developmental, intellectual disabilities, mental illness and the elderly. Oversight and administration is the responsibility of the state Medicaid agency.

HCCL – Health Care Checklist

HIPAA – Health Information Portability and Accountability Act

I

IABA – Institute for Applied Behavior analysis

IBA – Individual Behavior Assessment

ICAP – Inventory for Client and Agency Planning. Also used as an adaptive behavior assessment tool for eligibility purposes until 2007.

ICF/MR – Intermediate Care Facility for the Mentally Retarded. Residential facility defined by the federal government.

ICP - Individual Cost Plan, a summary of costs, units of service and funding sources relevant to a person’s plan of care.

ID - Intellectual disability, replaces the term mental retardation in defining a person’s cognitive abilities.

IEP - Individual Education Plan, a public special education planning document which summarizes the goals and objectives planned for a child during the school year.

IFE&S – Intensive Family Education and Supports, a bundled system of supports to children and families in the waiver.

IFSP - Individual Family Service Plan, the plan of care developed for a child ten to sixteen years of age in Developmental Disabilities Children’s Services, which documents the habilitative actions and outcomes the family wishes to achieve in a specific time frame.

IGS/IG&S – Individual Goods and Services

IHP – Individual Habilitation Plan. Obsolete term for a Personal Support Plan (PSP)

IIM – Individual Indian Monies

IL – Independent Living. Obsolete term for Supported Living (SL)

IP – Individual Plan. Obsolete term for Personal Support Plan (PSP)

IPP – Individual Program Plan. Obsolete term for Action Plan (AP)

IR – Incident Report

IRC – Intensive Review Committee

IRWE – Impairment Related Work Expenses. Out of pocket costs for items that are necessary for an individual receiving, Supplemental Security Income( SSI) to continue working; these costs can be deducted from an individual’s earned income when calculating the benefit amount.

IS – Individual Survey

ISP – Individual Service Plan. Case Management plan for person on waiting list, now called a Personal Support Plan (PSP).

ISR – Individual Service Record

J

 

K

 

L

LCSW – Licensed Clinical Social Worker

LIEAP – Low Income Energy Assistance Program

LOC – Level of Care. Often in reference to reviews conducted by authorized staff documenting a service recipient’s initial and ongoing eligibility for waiver services.

LPN –Licensed Practical Nurse

LTCPEA – Long Term Care Patient Evaluation Abstract, completed by a Registered Nurse (RN)

M

MA 55 - A form submitted to the Office of Public Assistance by the Developmental Disabilities Quality Improvement Specialist when opening an individual in Waiver Services.

MAEP – Montana Adaptive Equipment Program

MAP – Montana Advocacy Program, not called Disability Rights of Montana (DRM)

MCA – Montana Codes Annotated

MDC - Montana Developmental Center, state of Montana residential facility for individuals eighteen years of age or older with intellectual and developmental disabilities, located in Boulder, Montana. Formerly known as the Boulder River School and Hospital.

MEDS - Medicaid Eligibility Disability Services, a contracted service provider that provides applicants for services, a Medicaid eligibility determination.

MEMBER – A person participating in Medicaid and/or waiver services. 

MMIS - Medicaid Management Information System, a data-base that houses Medicaid service information for provider payment and service recipient identification.

MPQHF - Mountain Pacific Quality Health Foundation, the Developmental Disabilities Program contracts with this nursing organization for the purpose of completing initial level of care medical forms for Waiver recipients.

MONA – Montana Resource Allocation. This protocol developed by Davis/Deshaies under contract with the DDP. The purpose of the MONA is to serve as a guide in the development of a person-centered plan by identifying resources required to support a person with developmental disabilities. The MONA is based on skills and abilities associated with freedom of choice.

MR – Mental Retardation. Intellectual Disabilities has replaced this antiquated term.

MSU – Montana State University

N

NF – Nursing Facility

 

O

OBRA – Omnibus Budget Reconciliation Act

OHCDS - Organized Health Care Delivery System, as defined in 42 CFR 447.10 an organization that provides at least one Medicaid service directly, utilizing its own employees’ and contracts with other qualified providers to furnish other services.

OPA – Office of Public Assistance. Administers State Plan Medicaid, Food Stamps and other low income benefits.

P

PART C - A federally funded, early intervention program from birth to three for children who have a delay of twenty five percent in two or more, or 50 percent delay in one or more, of the developmental benchmarks, which include: communication, physical, cognitive, social and emotional development.

Part D – Medicare prescription drug coverage

PAS – Personal Assistance Services

PASRR - Pre Admission Screen Resident Review, refers to the Centers for Medicare and Medicaid funded program that is responsible for screening individuals for nursing home level of care. When an individual seeks nursing home care a level one screen must be completed by a state sanctioned entity. If the screening determines that the individual meets the level of care a second screen, or level 2 screening is completed to determine if the individual has a mental health disability or a developmental, intellectual disability and requires specialized services while residing in a nursing facility.

PASS – Plan to Achieve Self-Support; program for individual receiving Supplemental Security Income (SSI). A PASS allows you to set aside income and/or resources for a specified period of time so you can pursue a work goal. For example, you could set aside money to pay expenses for an education, vocational training, or starting a business as long as the expenses are related to achieving your work goal.

PCA – Personal Care Assistant

PD/E – Physically Disabled/Elderly, used in conjunction with the Medicaid Waiver Program administered by the Senior and Long Term Care (SLTC) Division.

PERM - Payment Error Reduction Measurement, an auditing system used to determine errors in provider billing of Medicaid services.

PFP – Personal Futures Planning

Pickle Amendment – An individual would be eligible for Supplemental Security Income (SSI) if title II COLAs were deducted from income.

PLUK – Parents Let’s Unite for Kids. An advocacy group for parents of children with disabilities.

POC - Plan of Care, a plan used in both adults and children’s services which documents the supports and services needed for the service recipient.

Port – To use an existing resource allocation to purchase services of choice, from the provider(s) of choice.

PSP - Personal Support Plan, the annual plan of care used for individuals sixteen years of age and older in Developmental Disabilities Program Services which documents the individual’s assessed needs and desired outcomes, detailed in the actions which are documented in the plan within a specific time frame.

Q

QAD - Quality Assurance Division, this division is located in the Department of Public Health and Human Services. This division is responsible for reviewing and auditing providers for compliance with state and federal laws and regulations.

QIS - Quality Improvement Specialist, a state employee of the Developmental Disabilities Program that is responsible for monitoring Developmental Disabilities Program Service Providers for contractual compliance and quality of care.

QAOS - Quality Assurance Observation Sheet, this form is used by the state Quality Improvement Specialist when a provider commendation or a deficiency is noted.

QMB – Qualified Medical Beneficiary

QMRP – Qualified Mental Retardation Professional

 

R

RBI - Routines-Based Interview, a clinical, semi-structured interview process designed to establish a positive relationship with the family and obtain a rich description of the child and family functioning. A parent or other adult functioning as a parent is always interviewed. If the child is cared for by someone else for fifteen hours or more a week, this person is also interviewed. The interview assesses the child’s engagement, independence and social relationships within everyday routines and can be used to obtain a narrative description of the child’s cognitive, motor, adaptive, communication and social skills; it does not result in a score but helps to determine the families satisfaction with home routines, resulting in a list of outcomes chosen by the interviewee and is used in the family plan of care development.

RBEI - Routines-Based Early Intervention is a proven model for family-centered intervention in natural environments which utilizes the following strategies of:

  • fully understanding the family environment through the development of ECO-Maps, which are a visual depiction of the relationships, supports and resources; 
  • conducting family-centered assessments to discover the functional needs through in-depth interview relating to daily routines and activities;
  • writing high-quality Individual Family Service Plans with clear, specific and measurable goals which directly address the families priorities and help children develop skills relevant to everyday life;
  • empowering families to continue intervention between visits utilizing a coaching model with families to weave intervention into daily routines so that children have the best chance to learn and retain new skills; and 
  • supporting early childhood educators through collaborative consultation.

RM – Regional Manager DDP field staff supervisor; oversees the Quality Improvement Specialists and State Adult Case Managers

RN – Registered Nurse

S

SABHRS – Statewide Accounting, Budgeting and Human Resource System

SCOMM - Secure communication, a term describing a communication sent through the THERAP web-based system.

SE – Supported Employment

SL – Supported Living

SLTC - Senior and Long Term Care, a division in the department of Public Health and Human Services. This division provides supports and services to the aging and physically disabled population of Montana.

SRS – Department of Social and Rehabilitation Services. Obsolete term for the Department of Health and Human Services (DPHHS).

SSA – Social Security Administration

SSDI –Social Security Disability Income. A financial benefit program for persons with disabilities.

SGA – Substantial Gainful Activity. If you are receiving SSDI benefits based on your disability, SGA is used as a factor to decide if your disability continues after you return to work, and complete your trial work period (TWP). If you are receiving SSI benefits based on disability, SGA is only used as a factor to determine initial eligibility for SSI benefits. Once you are receiving SSI   benefits, different standards are applied.

SSI – Supplemental Security Income. A financial benefit program for persons with disabilities. Medicaid accompanies this benefit.

SURS – Service Utilization Review System. Validates the billing and payment methodologies used in the rates methodology project.

T

TCM - Targeted Case Management, a state plan service for individuals sixteen years of age or older, which provides assessment, coordination, plan development and the monitoring of services for individuals who elect this support service.

TCM-DDP – Training and Contract Manager (changed to Field Service Specialist, FSS, currently called Quality Improvement Specialist (QIS)).

THERAP - A data-base used by the Developmental Disabilities Program to track and trend incidents in community and state operated facility services. Other applications such as plans of care and medication administration may be housed in the THERAP data-base. This is a contracted service.

TL- Transitional Living. A congregate living option in supported Living.

T–LOG - A term used to describe a case note in the THERAP data-base.

U

UM – University of Montana

 

V

Vineland – Diagnostic tool used by a Quality Improvement Specialist (QIS) to determine persons eligibility for services from the Develop[mental Disabilities Program (DDP)

VR - Vocational Rehabilitation, a division within the Department of Public Health and Human Services which provides supports for individuals with disabilities seeking employment.

W

WAIVER - The name of a program funded by the federal government through the Centers for Medicare and Medicaid Services which allows individuals both adults and children who meet the eligibility requirements to waive their income up to a specific percentage of the federal poverty requirement in order to receive authorized supports and services. The Developmental Disabilities Program currently is authorized to provide services to individuals who meet eligibility through three different Waiver programs which include:

  • the 0208 Comprehensive Waiver which provides supports and services to both children and adults;
  • the 1037 Waiver, Supports for Community Working and Living, which provides services to adults 18 years of age and older with an emphasis on integrated community employment; and
  • the 0667 Children’s Autism Waiver which provides services to children for three years of intensive habilitation until the age of eight.

WAIVER 5 - A form, used by the Developmental Disabilities Program when an individual enters Waiver Services, notifies the individual of the choices they have upon entry into Waiver Services. The form must be signed and reviewed annually by the service recipient.

WCCM - Waiver Children’s Case Management, this assessment, plan development coordination (referral related activities) and monitoring service is available in the Children’s Autism Waiver and the Comprehensive Waiver.

WL – Wait list for funding through Developmental Disabilities Program

WSSH ( now MSH, Montana State Hospital) - Warm Springs State Hospital, the state of Montana Hospital for individuals who have serious emotional disturbances.

X

XIX – Medicad funding option; Title XIX

XX – General Fund funding option; Title XX

 

Y

 

Z